Individual provider Active NPI

Marisol Aquino, LP-MHC

  • Mental Health Counselor
  • Bronx, NY
National Provider Identifier
1104607571
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1775 Grand Concourse FL 8
Bronx, NY 10453-8202
Phone
(212) 665-1860
Fax
(718) 294-4034
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NY Primary

Addresses

Primary practice location

1775 Grand Concourse FL 8
Bronx, NY 10453-8202

Mailing address

1775 Grand Concourse FL 8
Bronx, NY 10453-8202
Phone (212) 665-1860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Postgraduate Center for Mental Health CurrentSince Oct 15, 2023 Accepting new patients
Coordinated Behavioral Care Ipa Inc PastSince Oct 15, 2023 Accepting new patients

Locations

1775 Grand Concourse
Fl 8
Bronx, NY 10453
Phone (212) 560-6700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1104607571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 GRAND CONCOURSE FL 8",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104538202",
            "telephone_number": "212-665-1860",
            "fax_number": "718-294-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 GRAND CONCOURSE FL 8",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104538202",
            "telephone_number": "212-665-1860",
            "fax_number": "718-294-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "MARISOL",
        "name_prefix": "Ms.",
        "credential": "LP-MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.